scholarly journals Role and Preparedness of Physiotherapists in Prevention of Chronic Diseases, Using Stress Urinary Incontinence in Women as an Example 

2020 ◽  
Author(s):  
Joanna Witkoś ◽  
Magdalena Hartman-Petrycka
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Physical Education ◽  
Chronic Diseases ◽  
Open Questions ◽  
Number Of Patients ◽  
Definition Of ◽  
Prevention Methods ◽  
Medical University ◽  
Physiotherapy Students

Abstract Background: Ageing human population will generate a significant number of patients with chronic diseases, and this will lead to a significant increase in demand for health services and to a deteriorated economic situation in many countries. Stress urinary incontinence is the chronic diseases and one of the most important global health problems. Representatives of medical professions provide their patients with knowledge about the appropriate prevention and treatment of diseases. The aim of the study was to evaluate knowledge among graduates of physiotherapy about stress urinary incontinence in women. Methods: The study included 401 participants, students in their final year of physiotherapy. Respondents provided answers to open questions about their knowledge about stress incontinence in women.Results: The complete definition of stress urinary incontinence in women was given by 64.4% of physiotherapy students at the Medical University and 56.3% of physiotherapy students at the Physical Education University. The students of the Medical University, in comparison with the students of the Physical Education University, were more aware of risk factors (86.4% vs 69.4%), prevention methods (85.6% vs 68.7%), and conservative (92.4% vs 77.8%) and surgical treatment (28.0% vs 6.7%) of stress urinary incontinence in women (p<0.001). Conclusions: For the future students to better fulfil their role in providing care to female patients with SUI, a greater emphasis should be put on their education in that area. Research has shown that the disciplinary focus of universities educating students of physiotherapy plays a significant role in gaining knowledge about SUI.

scholarly journals The role and preparedness of physiotherapists according to the results of students of two universities in the prevention of chronic diseases using stress urinary incontinence in women as an example

2021 ◽  
Vol 15 (SUPPLEMENT 2) ◽  
pp. 1-14
Author(s):  
Joanna Witkoś ◽  
Magdalena Hartman-Petrycka
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Chronic Diseases ◽  
Population Aging ◽  
Financial Burden ◽  
Optimal Care ◽  
Correct Definition ◽  
Prevention And Treatment ◽  
Prevention Methods

Background: The health and financial burden imposed by chronic non-communicable diseases is expected to increase in parallel with the rapid rate of global population aging. Stress urinary incontinence (SUI) is an important health problem. Medical professionals should thus provide their patients with knowledge about the appropriate prevention and treatment of chronic diseases, including SUI. Aim of the study: This study compared the level of knowledge concerning the risk factors, prevention, and treatment of SUI in women between physiotherapy graduates at two different Universities with a focus on medicine (Med) and physical education (PE). Material and Methods: This study included final-year physiotherapy students (n=401). Respondents provided answers to open-ended questions used to measure their knowledge about SUI in women. Results: The complete and correct definition of SUI was provided by 64.4% of the students at University Med, and 56.3% of the students at University PE. Students at University Med, in comparison with the students at University PE, had a significantly higher awareness of the risk factors (86.4% vs. 69.4%), prevention methods (85.6% vs. 68.7%), and conservative (92.4% vs. 77.8%) as well as surgical treatment (28.0% vs 6.7%) of SUI in women (p<0.001). Conclusions: There is a need for greater emphasis on education about SUI in order to better prepare physiotherapy graduate students to provide optimal care to their female patients. The disciplinary focus of Universities that provide graduate programs in physiotherapy plays a significant role in gaining knowledge about SUI.

scholarly journals Remeex® System Effectiveness in Male Patients with Stress Urinary Incontinence

2021 ◽  
Vol 10 (10) ◽  
pp. 2121
Author(s):  
Gerardo-Alfonso Márquez-Sánchez ◽  
Bárbara-Yolanda Padilla-Fernández ◽  
Miguel Perán-Teruel ◽  
Pedro Navalón-Verdejo ◽  
Sebastián Valverde-Martínez ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Surgical Techniques ◽  
High Survival ◽  
Complication Rates ◽  
Exact Test ◽  
Number Of Patients ◽  
Male Stress Urinary Incontinence ◽  
Group B

Background: When conservative management fails, patients with stress urinary incontinence (SUI) are considered for surgical treatment. Simpler, more economical and less invasive surgical techniques, such as the Remeex® system, have been developed. Objectives: To analyze the objective effectiveness of the Remeex® system in the treatment of male stress urinary incontinence. To study survival and complication rates of the Remeex® system in male SUI patients. Materials and methods: Prospective observational study between July 2015 and May 2020. Group A (n = 7; GA) patients with mild SUI. Group B (n = 22; GB) patients with moderate SUI. Group C (n = 18; GC) patients with severe SUI. Effectiveness was assessed by the number of patients achieving complete and partial dryness. Complete dryness was defined as patients using 0–1 safety pads per day; partial dryness as a >50% reduction in the number of pads used. Results were analyzed using descriptive statistics, Student’s t-test. Chi2, Fisher’s exact test, ANOVA, and multivariate analysis. Significance was set at p < 0.05. Results: Mean age 69.76 years, mean follow-up 33.52 months. Objective effectiveness was observed in 89.36% of patients with incontinence. The effectiveness was 85.71% in GA, 90.91% in GB and 88.89% in GC. There were no significant differences among groups (p = 1.0000). 34.04% of patients with an implant required at least one readjustment, while 66.00% did not require any. There were no significant differences among groups (p = 0.113) Chi2 = 4.352. 95.74% of implants remained in place by the end of follow-up. We observed complications in 17.02% of patients. Conclusions: Remeex® system is an effective and safe method for male stress urinary incontinence treatment, regardless of the severity of the incontinence, with high survival and low complication and removal rates. System readjustments are required in one-third of the cases.

scholarly journals Do future healthcare professionals have adequate knowledge about risk factors for stress urinary incontinence in women?

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Joanna Witkoś ◽  
Magdalena Hartman-Petrycka
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
General Medicine ◽  
Medical Personnel ◽  
Personal Hygiene ◽  
Theoretical Knowledge ◽  
Adequate Knowledge ◽  
Medical Faculties ◽  
Physiotherapy Students

Abstract Background Stress urinary incontinence worsens living conditions as far as the occupational, social, mental, physical and sexual aspects of a woman’s life. Despite its real impact on the everyday lives of millions of women around the world, this problem is still disregarded and treated only as a discomfort associated with personal hygiene. Could this be due to negligence on the part of medical personnel in this matter and perhaps this lack of knowledge and proper information intended for women with stress urinary incontinence? Implementing educational activities to increase knowledge about urinary incontinence will translate into better educated women and earlier implementation of urinary incontinence treatment in the future. To properly educate women at risk of urinary incontinence, one needs to be familiar with the condition, in particular the risk factors for its development. The purpose of the study was to evaluate the degree of knowledge of students graduating from medical faculties have regarding risk factors for stress urinary incontinence in women and assess where the students’ knowledge of this problem came from. Methods The research involved 1581 final year students of medical faculties: nursing and midwifery (258), medicine (432), physiotherapy (402) and other medical (489). The author’s survey was used for the research. The chi2 test was used for analysis. Results Students in faculties of nursing and midwifery, general medicine, physiotherapy, and other medical faculties could correctly list stress urinary incontinence risk factors in 88.8%, 81.7%, 74.4% and 51.9% of their answers respectively (p < 0.01). The most frequently mentioned source of knowledge about stress urinary incontinence was higher level education in 82.6%, 89.8%, 90.0% and 34.4% of the respective groups’ replies (p < 0.001). Conclusions Nursing and midwifery students had the greatest theoretical knowledge of stress urinary incontinence, and lesser knowledge was found among general medicine students, while physiotherapy students and students of other medical faculties had the least theoretical knowledge about risk factors for urinary incontinence. It is advisable that more emphasis be placed on educating students about stress urinary incontinence due to their insufficient knowledge, in particular for future doctors and physiotherapists who will have direct contact with patients.

Urinary incontinence

2020 ◽  
pp. 706-715
Author(s):  
Jay Iyer ◽  
Ajay Rane
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Overactive Bladder ◽  
Developed Countries ◽  
Urgency Urinary Incontinence ◽  
Mixed Urinary Incontinence ◽  
Men And Women ◽  
Anatomy And Physiology ◽  
Classification Evaluation ◽  
Definition Of

According to the most recent definition of the International Continence Society, urinary incontinence (UI), a symptom of impaired storage, is ‘the complaint of any involuntary leakage of urine’. A condition that primarily affects women, UI is not a lethal condition; however, it significantly affects quality of life. Three types of incontinence are generally distinguished: stress urinary incontinence, urgency urinary incontinence, and mixed urinary incontinence, which associates with the first two. Prevalence varies significantly due to variations in definitions and measurement, methodology of data collection, lack of self-reporting, and sampling/non-response issues. Age, parity, vaginal childbirth, and body mass index are important factors that affect the prevalence of urinary incontinence. In 2005, the ‘Evaluation of the Prevalence of urinary InContinence’ (EPIC) study, which was the largest population-based survey of 19,165 individuals, was conducted in five developed countries to assess the prevalence of lower urinary tract symptoms in men and women. Prevalence of overactive bladder overall was 11.8%; rates were similar in men and women and increased with age. Overactive bladder was more prevalent than all types of UI combined (9.4%). Besides the obvious issue of hygiene, UI results in ramifications that extend to the sufferer’s social and sexual life. This chapter focuses on mainly three types of female urinary incontinence commonly encountered in clinical practice—stress urinary incontinence, urgency urinary incontinence, and mixed urinary incontinence—and discusses the anatomy and physiology of the continence apparatus, and the classification, evaluation, and management of urinary incontinence.

Changes in management of stress urinary incontinence following the 2011 FDA Health Notification

2017 ◽  
Vol 10 (5) ◽  
pp. 440-448 ◽  
Author(s):  
Aqsa A Khan ◽  
Nirit Rosenblum ◽  
Benjamin Brucker ◽  
Victor Nitti
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
International Classification Of Diseases ◽  
Vaginal Mesh ◽  
Temporary Increase ◽  
Number Of Patients ◽  
Classification Of Diseases ◽  
Urethral Bulking ◽  
Sling Placement ◽  
Over Time

Purpose: We sought to assess for impact on management trends in new patients presenting to our institution with stress urinary incontinence (SUI) following the release of the FDA Health Notification in July 2011 for vaginal mesh. Materials and methods: Chart analysis was performed on patients assigned a primary International Classification of Diseases (ICD-9) diagnosis code of 625.6 for SUI at initial consultation by two providers at our institution between June 1, 2010 and November 30, 2014. Rates of treatment and types of procedures performed were analyzed: urethral bulking, mesh sling, or pubovaginal sling. Results: A total of 333 new patients were identified with an increasing trend over time. One hundred and twenty-three patients underwent 153 procedures for stress incontinence. The mean proportion that had a procedure per six-month period was 37%, with decreasing proportions over time. Initially all procedures were midurethral mesh slings, with a decline at the time of and after the notification, and a temporary increase in bulking procedures. Subsequently, there was a rise again in sling placement, namely with an increase in pubovaginal slings. Of the 20 pubovaginal slings placed, 13 were placed in patients who had a prior anti-incontinence surgery (eight for sling failure, vaginal mesh, or fixed urethra, and two in patients with mesh extrusion/erosion). Seven were performed in patients who had never had prior surgery (two for very high-grade incontinence, two with urethral diverticulectomy, and three in patients who expressed concern about mesh). Conclusions: Although there were an increasing number of patients seen for management of SUI over time, there was a progressive decrease in the proportion of patients having anti-incontinence procedures after release of the FDA notification. There was an overall decrease in the use of mesh slings and an increase in bulking, and more notably, placement of pubovaginal slings.

scholarly journals Preparedness of future medical personnel to support women with stress urinary incontinence: knowledge of absorbent products and important factors to consider in choosing these products

2021 ◽  
Vol 15 (1) ◽  
pp. 1-8
Author(s):  
Joanna Witkoś
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Modern Society ◽  
Medical Personnel ◽  
P Value ◽  
Medical Studies ◽  
Medical Faculties ◽  
Level Of Knowledge ◽  
Physiotherapy Students ◽  
Selection Of

Background: Stress urinary incontinence (SUI) is a chronic disease and a serious health problem in modern society. Aim of the study: The present study aimed to evaluate the level of knowledge among students graduating from medical faculties regarding absorbent products for women suffering from SUI. Material and methods: The study involved 1,581 participants who were students in the final year of their medical studies attending several different universities. The author’s survey was used for the research. The chi2 test was used for analysis. Differences with a P-value of<0.05 were considered statistically significant. Results: Approximately 72% of nursing and midwifery students were familiar with absorbent products available on the Polish market used in cases of urinary incontinence, compared to about 54% of physiotherapy students and 35% of medical students. Approximately 77% of nursing and midwifery students were able to indicate which factors are important when selecting products for women suffering from SUI. About 55% of future physicians were knowledgeable about this subject and only 0.7% of physiotherapy students. Conclusions: The group of nursing and midwifery students had the best level of knowledge necessary to assist a woman suffering from SUI in the selection of absorbent products.

Sign in / Sign up

Export Citation Format

Share Document